Claims Manager

Description Providence is calling for Senior Claims Manager - RIS - Full time, Day, Hybrid The Senior Claims Manager is responsible for day-to-day management of professional and general liability claims in accordance with the System's claims program policies and procedures and within an assigned Region or scope of responsibility. The Senior Claims Manager position will have responsibility for investigating, evaluating and managing professional and other liability claims against the organization as assigned or directed by the Director of Risk & Claims; maintaining up-to-date and accurate claims files, including summaries, action plans, and claims status in the claims data management software; communicating directly with patients, claimants, witnesses and families; coordinating with facility leadership, risk managers, defense counsel, and others; monitoring and advising on disclosure and early resolution opportunities; ensuring compliance with relevant claims reporting procedures and required regulations; and providing feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department policies and procedures, system-wide claims and litigation processes, and appropriate System risk management issues. The Claims Manager will foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists. The Senior Claims Manager is responsible for day-to-day management of professional and general liability claims in accordance with the System's claims program policies and procedures and within an assigned Region or scope of responsibility. The Senior Claims Manager position will have responsibility for investigating, evaluating and managing professional and other liability claims against the organization as assigned or directed by the Director of Risk & Claims; maintaining up-to-date and accurate claims files, including summaries, action plans, and claims status in the claims data management software; communicating directly with patients, claimants, witnesses and families; coordinating with facility leadership, risk managers, defense counsel, and others; monitoring and advising on disclosure and early resolution opportunities; ensuring compliance with relevant claims reporting procedures and required regulations; and providing feedback and recommendations to the Director of Risk & Claims on evaluations, litigation trends, department policies and procedures, system-wide claims and litigation processes, and appropriate System risk management issues. The Claims Manager will foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists. Providence caregivers are not simply valued - they're invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications Bachelor's Degree in Business Administration, Finance, or a related discipline or Equivalent combination of education and experience in the insurance industry; claims management; or legal handling of claims issues. 7 years of relevant general and professional liability claims processing or management experience. Preferred Qualifications STARS or similar claims management software. Upon hire: Certified Professional Healthcare Risk Management (CPHRM) Salary Range by Location AK: Anchorage: Min: $52.19, Max: $82.39 AK: Kodiak, Seward, Valdez: Min: $54.40, Max: $85.88 California: Humboldt: Min: $54.40, Max: $85.88 California: All Northern California - Except Humboldt: Min: $61.04, Max: $96.35 California: All Southern California - Except Bakersfield: Min: $54.40, Max: $85.88 California: Bakersfield: Min: $52.19, Max: $82.39 Idaho: Min: $46.44, Max: $73.31 Montana: Except Great Falls: Min: $42.02, Max: $66.33 Montana: Great Falls: Min: $39.81, Max: $62.84 New Mexico: Min: $42.02, Max: $66.33 Nevada: Min: $54.40, Max: $85.88 Oregon: Non-Portland Service Area: Min: $48.65, Max: $76.80 Oregon: Portland Service Area: Min: $52.19, Max: $82.39 Texas: Min: $39.81, Max: $62.84 Washington: Western - Except Tukwila: Min: $54.40, Max: $85.88 Washington: Southwest - Olympia, Centralia & Below: Min: $52.19, Max: $82.39 Washington: Tukwila: Min: $54.40, Max: $85.88 Washington: Eastern: Min: $46.44, Max: $73.31 Washington: southeastern: Min: $48.65, Max: $76.80 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About The Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 449640 Company: Providence Jobs Job Category: Financial Transactions Job Function: Health Plans Services Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4008 SS RIS Address: CA Napa 1000 Trancas St Work Location: Queen of the Valley Medical Center Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. #J-18808-Ljbffr